View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 9000-0014	ICR Reference No: 201711-9000-003
Status: Historical Active	Previous ICR Reference No: 201402-9000-001
Agency/Subagency: FAR	Agency Tracking No:
Title: Statement and Acknowledgment (SF 1413); FAR Section Affected:52.222-11
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/05/2018
	Date Received in OIRA: 12/06/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2021	36 Months From Approved	01/31/2018
Responses	69,610	0	61,000
Time Burden (Hours)	3,481	0	3,050
Cost Burden (Dollars)	187,947	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	69,610	61,000	8,610
Annual Time Burden (Hours)	3,481	3,050	431
Annual Cost Burden (Dollars)	187,947	0	187,947

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase of responses from 61,000 to 69,610 and the associated increase in estimated burden hours from 3,050 hours to 3,481 hours is an adjustment due to an increase in the number of construction contracts that exceeded $2,000 in FY 2016.

Annual Cost to Federal Government: $187,974

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Edward Loeb 2025010650 Edward.Loeb@gsa.gov

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